License holder summary

Lara Marie Wiziecki is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Lara Marie Wiziecki is St. Catherine Hospital, ER Dept, Dr. Jeffery Dubnow, 4321 Fir Street, East Chicago IN 46312. This licensed professional license is current. The license was granted 06/25/1998 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lara Marie Wiziecki
Controlled Substance Registration-Osteopathic Physician
License number
02001971B
Date granted
06/25/1998
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Catherine Hospital, ER Dept, Dr. Jeffery Dubnow, 4321 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5798957
LAST UPDATED 2024-02-16 14:54:26 UTC

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